Organization
M.E.C.U,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK MICHAEL FUDESCO (OWNER)
(985) 264-2267
Entity
Organization
Contact information
Practice address
18092 MANNING DR, PRAIRIEVILLE, LA 70769-5626
(985) 264-2267
(225) 246-8059
Mailing address
18092 MANNING DR, PRAIRIEVILLE, LA 70769-5626
(985) 264-2267
(225) 246-8059
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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